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Molina Healthcare gets largest Medicaid contract with California deal
With new or additional California Medicaid contracts in the offing, Molina Healthcare will add 1.4 million enrollees, mostly at Centene subsidiary HealthNet's expense, the Los Angeles Business Journal reported Sept. 12. -
Health Partners Plans expands into New Jersey
Philadelphia-based Health Partners Plans is expanding its Medicare Advantage coverage into Gloucester County, N.J., The Philadelphia Inquirer reported Sept. 12. -
'Quick resolution' to WakeMed-UnitedHealthcare dispute not expected
Raleigh, N.C.-based WakeMed has been out of network with UnitedHealthcare since June 1, and while contract negotiations are ongoing, a hospital spokesperson told CBS affiliate WNCN Sept. 8 they are "not confident in a quick resolution." -
Johns Hopkins to go out of network with CareFirst on Dec. 5 without new contract
Johns Hopkins will go out of network with CareFirst BlueCross BlueShield on Dec. 5 if the two sides are unable to reach a new contract, The Baltimore Sun reported Sept. 8. -
Penn State drops Aetna for Highmark to administer employee health plan
Highmark Blue Shield will become the new health benefits provider for the 39,000 people employed by Penn State starting next year, the Daily Collegian reported Sept. 7. -
5 recently terminated payer contracts
From Aetna to Anthem, several in-network contracts have been terminated between payers and providers this year, while others are on the verge of the same: -
10 recently inked payer contracts
From several state's awarding Medicaid contracts to agreements with providers over in-network rates, these are 10 recently inked contracts with payers reported by Becker's since Aug. 5: -
CMS selects Maximus for $6.6B insurance customer service contract
CMS has chosen Maximus Federal Services for a $6.6 billion contract to operate Medicare and ACA plan customer service centers nationwide. -
Aetna, Covenant Health terminate contract
A contract between Aetna and Lubbock, Texas-based Covenant Health expired Aug. 31, leaving almost 9,000 individuals without in-network coverage. -
Molina, Amerigroup tapped for Iowa Medicaid contracts
Iowa said Aug. 31 it intends to award four-year Medicaid managed care contracts to Elevance Health's Amerigroup Iowa and Molina Healthcare of Iowa. -
Louisiana selects Magellan for Medicaid pharmacy benefits
Louisiana intends to contract with Magellan to administer pharmacy benefits for the state's Medicaid managed care program. -
Centene threatens to terminate contract with Tenet, potentially impacting 3 million patients
Update: Tenet spokesperson Rob Dyer confirmed to Becker's that Centene and Tenet Healthcare signed an in-network contract for Sept. 30, 2022 through Dec. 31, 2026. -
Why Centene is disappointed despite winning Medi-Cal contract
Centene subsidiary Health Net of California was one of three plans awarded contracts in Medi-Cal's first ever statewide managed care plan procurement process, but the insurer said it was disappointed to learn it did not win contracts in three counties it has a "deep history in serving." -
3 payers tapped for Medi-Cal contracts
The California Department of Healthcare Services selected Molina Healthcare, Anthem Blue Cross Partnership Plan and Centene subsidiary Health Net for managed care contracts. -
BayCare-Florida Blue contract dispute could leave 215,000 patients out of network
Clearwater, Fla.-based BayCare Health System is sending 215,000 letters to patients with Florida Blue insurance plans informing them that the system will go out of network with the payer if the sides are not able to agree to a new contract by Oct. 1, the Tampa Bay Times reported Aug. 25. -
Empire BCBS, Northwell Health sign multiyear agreement
Empire BlueCross BlueShield and Northwell Health have signed a multiyear agreement that they say offers New Yorkers enhanced access and new programs. -
MaineHealth, Anthem BCBS settle $70M dispute, ink 2-year contract
Anthem Blue Cross and Blue Shield in Maine and MaineHealth have reached an agreement to keep Maine Medical Center in Portland, the state's largest hospital, in network for the next two years. -
Mississippi may propose payer-provider contract legislation following tense BCBS, UMMC dispute
Mississippi's insurance commissioner is looking to introduce state legislation that limits when a network contract can be canceled between a payer and provider following one of the most contentious contract disputes of 2022 between Blue Cross and Blue Shield of Mississippi and the University of Mississippi Medical Center, the Mississippi Free Press reported Aug. 16. -
OU Health, UnitedHealthcare reach contract agreement
Oklahoma City-based OU Health is back in network with UnitedHealthcare after the two sides reached an agreement Aug. 12. -
Adventist, Anthem agree on new contract
Roseville, Calif.-based Adventist Health and Anthem Blue Cross have reached a deal on a new contract, the Tehachapi News reported Aug. 12.
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